Active NPI
Donique Shonette Ivery, ANP
- Adult Health Nurse Practitioner
- Freehold, NJ
National Provider Identifier
1447203435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00109300
- Practice address
- 901 W Main St
Centrastate Medical Center
Freehold, NJ 07728 - Phone
- (732) 294-2666
- Fax
- (732) 431-8267
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00109300 | NJ | Primary |
Addresses
Primary practice location
901 W Main St
Centrastate Medical Center
Freehold, NJ 07728
Mailing address
PO Box 2680
Central Jersey Emergency Medicine Associates PC
New Brunswick, NJ 08903-2680
Phone (800) 666-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advert Community Health Project LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Trenton, NJ
- NPI 1700100039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447203435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2680",
"address_2": "CENTRAL JERSEY EMERGENCY MEDICINE ASSOCIATES PC",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089032680",
"telephone_number": "800-666-2455",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"address_2": "CENTRASTATE MEDICAL CENTER",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-294-2666",
"fax_number": "732-431-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERY",
"first_name": "DONIQUE",
"middle_name": "SHONETTE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00109300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.